EP2120821B1 - Outil de chargement d'un implant pulmonaire - Google Patents
Outil de chargement d'un implant pulmonaire Download PDFInfo
- Publication number
- EP2120821B1 EP2120821B1 EP08743733.1A EP08743733A EP2120821B1 EP 2120821 B1 EP2120821 B1 EP 2120821B1 EP 08743733 A EP08743733 A EP 08743733A EP 2120821 B1 EP2120821 B1 EP 2120821B1
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- EP
- European Patent Office
- Prior art keywords
- implant
- catheter
- tubular structure
- collapsible
- loading
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
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- 239000007943 implant Substances 0.000 title claims description 143
- 238000011068 loading method Methods 0.000 title claims description 70
- 230000002685 pulmonary effect Effects 0.000 title claims description 22
- 230000006835 compression Effects 0.000 claims description 19
- 238000007906 compression Methods 0.000 claims description 19
- 230000007246 mechanism Effects 0.000 claims description 7
- 230000001419 dependent effect Effects 0.000 claims description 3
- 239000012781 shape memory material Substances 0.000 claims description 3
- 238000004806 packaging method and process Methods 0.000 claims description 2
- 239000012780 transparent material Substances 0.000 claims description 2
- 210000003811 finger Anatomy 0.000 description 5
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 230000008901 benefit Effects 0.000 description 3
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 3
- 229910001000 nickel titanium Inorganic materials 0.000 description 3
- 238000002513 implantation Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000037361 pathway Effects 0.000 description 2
- 206010003598 Atelectasis Diseases 0.000 description 1
- 208000019693 Lung disease Diseases 0.000 description 1
- 208000007123 Pulmonary Atelectasis Diseases 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 238000007373 indentation Methods 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 239000003562 lightweight material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
- 230000032258 transport Effects 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Images
Classifications
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12104—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
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- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12168—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure
- A61B17/12172—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure having a pre-set deployed three-dimensional shape
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/9522—Means for mounting a stent or stent-graft onto or into a placement instrument
- A61F2/9525—Means for mounting a stent or stent-graft onto or into a placement instrument using a funnel
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- A—HUMAN NECESSITIES
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- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00809—Lung operations
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- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
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- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2427—Devices for manipulating or deploying heart valves during implantation
- A61F2/2436—Deployment by retracting a sheath
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- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/9522—Means for mounting a stent or stent-graft onto or into a placement instrument
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2002/043—Bronchi
Definitions
- This invention relates generally to implants, and specifically to devices for loading a collapsible implant onto a delivery catheter, and more particularly for loading a collapsible pulmonary implant onto a delivery catheter.
- Collapsible self-expanding implants are well known in the medical device field. Historical medical uses for such implants include maintaining openings in vascular, urinary, biliary, esophageal, and renal tracts, and vena cava filters. Recently, modified pulmonary implants are being contemplated for the treatment of pulmonary disorders. Some such pulmonary devices differ from conventional occlusive devices in that they are designed to constrict, block, or significantly restrict fluid flow in a pulmonary passageway, rather than maintain an opening in it.
- Self-expanding pulmonary implants must be compressed to enable delivery through relatively small and curved body pathways.
- a delivery device such as a delivery catheter, retains the pulmonary implant in its radially compressed state as it transports the implant to a treatment site through relevant bodily passageways. There, the implant is released and expands to its non-compressed shape.
- implants that are already pre-loaded onto a catheter might lose some of their functionality as they remain on the shelf for extended periods of time before they are used in a patient.
- the device would be maintained in its native state until it is ready to be used in a patient.
- the physician should be able to load the implant onto the delivery catheter using a simple maneuver.
- the implant should be well protected during shipping and transfer until it is ready to be used. A simple system that would meet all the above needs would be highly desirable.
- U.S. patent No. 6,096,027 discloses an apparatus for loading a stent onto a catheter using a flexible sleeve to encase the stent as it is pulled through a tapered passageway.
- Commonly assigned published U.S. patent application No. 20060162731A1 discloses a loading mandrel positioned within a loading body, wherein the loading mandrel is manipulated to load an occlusal stent into a wide-mouthed end of the loading body and move the occlusal stent to a narrow-mouthed end within the loading body.
- US 6,068,635 relates to a procedure as well as a device for introducing an endoprosthesis into the distal end of a catheter by means of which the endoprosthesis is introduced into a vessel for implantation therein and is released to undergo self expansion by moving the tip of a catheter axially relative to the distal end of an outer catheter.
- An embodiment of the device comprises a hollow cylindrical housing designed to receive the endoprosthesis, a piston axially displaceable therein which can be brought into engagement with the endoprosthesis, and a nose section arranged at one end of the housing, said nose section being provided with a recess tapering in the direction of an opening, and by means of said recess the endoprosthesis supplied by the piston may be introduced, with compressed diameter and in elongated form, into the distal end of the catheter replaceably arranged on the nose section.
- US 2004/0210248 describes an assembly which delivers an intra-bronchial device into an air passageway.
- the assembly includes a delivery catheter having a deployment lumen with a distal end arranged to receive the intra-bronchial device in a delivery configuration, and arranged to be passed down a trachea and advanced to a location for deployment of the intra-bronchial device, and to deploy the intra-bronchial device by retracting the deployment catheter.
- the assembly further includes a bronchial device supply tool associated with the distal end, and arranged to carry the intra-bronchial device in a storage configuration and to load the intra-bronchial device in a delivery configuration into the deployment lumen of distal end, and the intra-bronchial device carried in the supply tool in a storage configuration.
- An example of the supply tool includes a storage portion, a delivery portion, and a configuration-changing portion coupled between the storage portion and the delivery portion.
- the device for loading a collapsible implant according to the invention is defined in claim 1.
- Preferred embodiments are defined in the dependent claims.
- a loading device accepts a flexible and self-expanding implant, as well as the distal end of a delivery catheter.
- the loading device guides the implant through a narrowing passage that feeds into the distal end of the catheter. As the implant passes through the narrowing passage, it is compressed to a diameter that allows the implant to be inserted into the catheter.
- a loading device comprises an outer tubular structure and an inner tubular structure.
- the outer tubular structure comprises a narrowing passage configured to receive a catheter at one end and a collapsible implant at another end.
- the inner tubular structure is configured to move slidably and co-axially within the outer tubular structure.
- the inner tubular structure comprises a carrier pin configured to move within the narrowing passage as the inner tubular structure slides into the outer tubular structure. The sliding of the inner tubular structure into the outer tubular structure causes an implant mounted on the carrier pin to collapse as the implant moves through the narrowing passage and into the distal end of a catheter.
- the outer tubular structure further comprises a grasper to stabilize the catheter for receipt of the collapsible implant, and the internal diameter of the inner tubular structure varies to cause the grasper to first contract and stabilize the catheter, and then expand and release the catheter, as the grasper moves into the inner tubular structure.
- the loading device comprises an outer shaft comprising a narrowing passage leading to an opening for receiving the distal end of a catheter, an opening for accepting a collapsible implant, and two compression members.
- the first compression member is configured to move slidably within the outer shaft and guides the implant through the narrowing passage, thereby collapsing it.
- the second compression member then inserts the implant into the catheter.
- the loading device comprises two tubular structures with opposing narrowing inner diameters, with one tubular structure configured to move slidably over the other. Placement of an implant between the structures, followed by sliding one tubular structure over the other, causes the implant to radially compress within the two opposing narrowing cavities.
- a catheter with a slotted rod is configured to hold and pull a collapsible implant through a narrowing passage and into the distal opening of the catheter.
- the slotted rod comprises a spring loaded ball configured to increase the grip on the implant.
- the rod comprises a grasping or latching mechanism configured to latch onto the implant as the implant is pulled through the narrowing passage and into the catheter.
- the rod comprises a loop wire configured to secure the implant as the implant is pulled through the narrowing passage and into the catheter.
- the loop wire may comprise shape-memory material such as Nitinol to allow it to release the implant by increasing the slack in the loop wire.
- kits for distributing and storing the system components according to claim 15.
- the kits will include packaging for holding the components, usually including a primary package which may be a box, pouch, cylinder, or other protective package.
- the individual system components are usually held within separate sterile containers within the primary package, usually being in pouches, cylinders, or the like.
- self-expanding implants may be preloaded within the loading device and held in their uncollapsed configuration, thus reducing the risk of damaging the elastic implant materials prior to loading and implantation.
- the kits may comprise instructions for use setting forth any of the loading methods described herein.
- a loading device for loading a collapsible pulmonary implant onto a delivery system, in preparation for delivering the implant into the pulmonary airways of a patient.
- the delivery system may comprise a catheter.
- Collapsible pulmonary implants are made of memory-shape materials, such as Nitinol, and are compressed to enable delivery through relatively small and curved bodily pathways to the treatment site.
- Delivery devices such as catheters, retain the collapsed pulmonary implants in a radially compressed state for delivery to the treatment site, where the implant is released into the airway and regains its non-compressed shape.
- the present description discloses various embodiments of a loading device that collapses such implants and optionally inserts them onto a delivery catheter.
- the present description further discloses various embodiments of catheters comprising rods for securing and pulling a collapsible pulmonary implant through a narrowing passage and into the catheter, collapsing the implant before it enters the catheter.
- the present embodiments can be used with any implants that are delivered bronchoscopically for inducing atelectasis. Such implants may be restrictive or occlusive in nature, or valve-based.
- FIGS 1a-1g illustrate a loading device 100 according to a preferred embodiment of the present invention.
- Figure 1a shows the assembled loading device 100.
- An inner tubular structure 102 is configured to move slidably into and out of an outer tubular structure 101.
- the inner tubular structure 102 is hereinafter also referred to as a plunger 102
- the outer tubular structure 101 is hereinafter also referred to as a barrel 101.
- the plunger 102 comprises an optional cap 107.
- a carrier pin 104 may be attached to the plunger 102 itself, or alternatively attached to the cap 107 as is shown in the Figures.
- a collapsible pulmonary implant 103 is mounted on the carrier pin 104, positioned for compression through a narrowing passage and insertion into a catheter.
- One end of the barrel 101 is configured to receive the implant 103 mounted on the carrier pin 104, and the other end is configured to receive a catheter (as is shown in the additional figures below).
- the carrier pin 104 guides the implant 103 through the narrowing passage 106, compressing the implant 103 and inserting it into the opening at the distal end of the catheter.
- the barrel 101 comprises optional finger rests 110.
- Finger rests 110 and cap 107 allow a user to place two fingers in the finger rests 110 and hold the loading device 100 while using the thumb or the palm of the hand to slide the plunger 102 into the barrel 101, similar to using a syringe or a pump, as shown in Figure 1e .
- Figure 1b shows an exploded view of the components of the loading device 100, showing the barrel 101 with optional finger rests 110, the plunger 102, a cap 107, a carrier pin 104, a narrowing passage 106, a catheter passage 109, an optional grasper 108, and a collapsible implant 103.
- Figures 1c and 1d show interior and cross-sectional views of the loading device 100, with a catheter 105 inserted into the loading device 100.
- the loading device 100 comprises a narrowing passage 106. Movement of the implant 103 into the narrowing passage 106 compresses the implant 103, thereby reducing its diameter until the diameter is small enough to fit into the catheter 105. A continuation of the same plunging motion that compresses the implant 103 also inserts it into the catheter 105.
- the catheter 105 comes to rest as it comes in contact with indentations 112. A user compresses the loading device, as shown in Figure 1e , thereby causing tubular structure 102 to move into tubular structure 101.
- the loading device 100 optionally comprises a grasper 108.
- the grasper 108 is configured to grasp down on an inserted catheter 105 upon application of a force, which is provided by the tapered cavity of the plunger 102.
- This cavity comprises a first section with a reduced internal diameter 111a and a second section with a larger internal diameter 111b, as depicted in Figure 1d .
- the grasper 108 Prior to the plunger 102 sliding into the barrel 101, the grasper 108 is in an open, released state. The sliding of the plunger 102 into the barrel 101 forces the grasper 108 through the reduced diameter section of the plunger 102 and causes the grasper 108 arms to close. As a result, the grasper 108 grasps and holds down the catheter 105, thereby stabilizing the catheter 105 for the insertion of the compressed implant 103 during the movement of the loading device 100. Upon moving through and exiting the reduced diameter section of the plunger 102 and entering the larger diameter section, the grasper 108 arms return to their open state, thereby releasing the loaded catheter 105 and allowing a user to remove the catheter 105 from the loading device 100.
- Figure 1f shows the loading device 100 in a partially compressed state.
- the plunger 102 has moved into the tubular structure 101, and the carrier pin 104 has guided the implant 103 through the narrowing passage 106 and compressed it.
- Figure 1g shows the loading device 100 in a fully compressed state.
- the loading device 100 is fully compressed, i.e., the plunger 102 has completed its travel from the proximal end of the barrel 101 to the distal end of the barrel 101, the implant 103 has been inserted into the catheter 105, and the grasper 108 has released the catheter 105 after passing through the reduced diameter section of the plunger 102.
- the loading device 100 has, in one continuous motion, grasped (stabilized) the delivery catheter 105, loaded the implant 103 onto the catheter 105, and released the catheter 105 when the implant 103 has been loaded. This enables the user to conveniently load an implant 103 with the least amount of effort and ensure that it is loaded properly.
- the loading device 100 is configured to allow a user to visually verify that the implant 103 is loaded onto the catheter 105.
- the plunger 102 and/or barrel 101 may comprise at least partially transparent material, such as glass or plastic.
- the device 100 may comprise a cut-away portion serving as a viewing port.
- the loading device 100 it allows for loading the implant 103 at an accurate and predictable location within the catheter 105. It is another advantageous aspect of the loading device 100 that it facilitates simple, straightforward, repeatable operation, providing ease of use. It is yet another advantageous aspect of the loading device 100 that it prevents damage to the implant 103 during shipping, storage, and loading operation. It is yet another advantageous aspect of the loading device 100 that it prevents the implant 103 from resting on its side over an extended period of time, thereby preventing damage to, or functional degradation of, the implant 103.
- One of the most important advantages offered b the loading device 100 is that it prevents insertion of the implant 103 onto the catheter 105 in an incorrect (i.e., reversed) distal-proximal orientation.
- the loading device 100 may be made of light-weight materials, as well as an intuitive form factor,and thus making it easy it to handle.
- FIG. 2 shows a loading device 200 according to a second alternative embodiment of the present disclosure.
- Loading device 200 comprises an elongate outer shaft 208 comprising a narrowing passage 206 leading to an opening 205 for receiving the distal end of a catheter (not shown).
- the loading device 200 comprises a first stage compression member 207 configured to move slidably within the outer shaft 208, and a second stage compression member 204 configured to move slidably within the first stage compression member 207.
- the first stage compression member 207 comprises a handle 201 protruding through an opening 210 on the side of the outer shaft 208.
- the second stage compression member 204 comprises a handle 202 protruding through an opening 211 of the outer shaft 208.
- the two compression members 207 and 204 are connected to each other via a tether 212.
- the implant 103 is inserted into through an opening 209 into the loading device 200, and the distal tip of a catheter 105 is inserted into the opening 205.
- the catheter's tip is secured to the loading device 200 prior to insertion of the implant 103.
- a user uses handle 201 to slide the first stage compression member 207 towards the narrowing passage 206.
- the first stage compression member 207 guides the implant 103 through the narrowing passage 206, thereby compressing the implant 103.
- the implant 103 is sufficiently compressed to allow the second stage compression member 204 to insert the implant 103 into the catheter 105. Since the two compression members are tethered together, the second stage compression member 204 follows as the first stage compression member 207 completes its range of motion.
- the user uses the handle 202 to slide the second stage compression member 204 forward, guiding the now compressed implant 103 through the remainder of the narrowing passage 206 and into the opening at the distal end of the catheter 105.
- FIGs 3a-3e show a loading device 300 according to a third alternative embodiment of the present disclosure.
- the loading device 300 comprises two tubular structures 301 and 302, with tubular structure 302 configured to move slidably over tubular structure 301.
- the tubular structures 301 and 302 each have a narrowing inner cavity, with opposing directions of narrowing, as can be seen in Figure 3b .
- Tubular structure 301 has an opening for insertion of a catheter 105. Placement of the implant 103 between tubular structures 301 and 302, followed by the sliding of tubular structure 302 over tubular structure 301, causes the implant 103 to radially compress within the two opposing narrowing cavities and slide into the catheter 105.
- Figure 3c shows a cross-sectional view of the separated tubular structures 301 and 302.
- Figures 4a-4e , 5 , 6 and 7 show catheter 105 comprising members for loading an uncompressed implant 103 onto the catheter 105, included in embodiments of the present invention.
- the catheter 105 comprises a lumen or sheath, and a member within the lumen or sheath that extends distally out of the catheter 105 and attaches itself to an uncompressed implant 103, pulls the implant 103 through a narrowing passage to compress the implant 103, and then continues to pull the now compressed implant 103 into the catheter 105.
- Figures 4a-4e illustrate a catheter 105 with a slotted rod 601 configured to hold the proximal end (such as a bushing) of a compressible implant 103, : included in an embodiment of the present invention.
- the catheter is inserted through a narrowing passage 602.
- the rod may be a hypotube, a coil, a solid wire, or any other such element that can be rigid.
- the slotted rod 601 is extended distally out of its encasing catheter 105.
- the uncompressed implant 103 is placed within the slot.
- the slotted rod 601 then pulls the implant 103 through the narrowing passage 602 and compresses it (not shown) to a diameter that is small enough to be inserted into the internal lumen of the catheter 105.
- the collapsed implant 103 is pulled into the catheter 105, as shown in Figure 4c .
- the implant 103 can be released from the catheter 105 by extending the rod 601 distally out of the catheter 105, or alternatively by pulling the catheter lumen or sheath back to expose the rod 601.
- the user can twist or turn the rod 601 and disengage the implant 103.
- the rod may comprise a mechanism for more tightly gripping the implant 103.
- a rod 603 is shown comprising a spring 603a and a spring loaded ball 603b to increase the grip on the implant 103.
- the slotted rod 603 is pushed out of its catheter (not shown).
- the bushing of the implant 103 is placed within the slot and the spring loaded ball 603b exerts a gripping pressure against the implant 103, holding it tightly in place.
- the implant 103 is then pulled into the narrowing passage 602 and compressed to a diameter smaller than that of the internal lumen of the catheter (not shown) and further pulled into the catheter.
- the implant 103 can be released again from the catheter by pushing the rod 603 out of the catheter, or alternatively by pulling the catheter lumen or sheath back to expose the rod 603. As described above, once the implant 103 has been deployed into the bronchial passageway of a patient, the user can twist and turn the rod 603 to disengage the implant 103.
- the rod may comprise an attachment mechanism such as a latch mechanism to latch onto the implant 103.
- the rod 604 comprises a latch 604a and is extended distally out of its encasing catheter 105.
- the bushing of the implant 103 is placed within the latch 604a and locked into place.
- the implant 103 is then pulled through the narrowing passage 602 and compressed to a diameter smaller than that of the internal lumen of the catheter 105.
- the implant 103 can be released again from the catheter 105 by pushing the rod 604 out of the catheter 105 (or alternatively by pulling the catheter lumen or sheath back to expose the rod 604) and releasing the latch 604a.
- releasing the latch 604a causes the rod 604 to disengage from and release the implant 103.
- the rod may comprise a loop wire as an attachment mechanism to secure the implant 103 to the rod.
- the rod 605 comprises a loop wire 605a that protrudes out of its encasing catheter 105 and loops around the bushing of the implant 103, pulling the implant 103 into the narrowing passage 602 and compressing it to a diameter smaller than that of the internal lumen of the catheter 105.
- the loop wire 605a may comprise shape memory material such as Nitinol to allow it to release the implant 103 by increasing the slack in the loop wire 605a.
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- Health & Medical Sciences (AREA)
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- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
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- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Reproductive Health (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
Claims (15)
- Dispositif (100) pour le chargement d'un implant pliable sur un cathéter de pose, comprenant :une structure tubulaire externe (101) présentant une extrémité distale et une extrémité proximale, la structure tubulaire externe (101) comprenant un passage de rétrécissement (106) configuré pour recevoir le cathéter de pose (105) à une extrémité et l'implant pliable (103) à une autre extrémité, le cathéter (105) présentant une extrémité distale ;une structure tubulaire interne (102) configurée pour se déplacer de manière coulissante à l'intérieur de la structure tubulaire externe (101), la structure tubulaire interne (102) comprenant une tige de support (104) configurée pour se déplacer à l'intérieur du passage de rétrécissement (106) lorsque la structure tubulaire interne (102) coulisse dans la structure tubulaire externe (101) ;la tige de support (104) étant configurée pour monter l'implant pliable sur celle-ci (103) et pour guider l'implant pliable (103) à travers le passage de rétrécissement (106) et jusque dans l'extrémité distale du cathéter (105) lorsque la structure tubulaire interne (102) coulisse dans la structure tubulaire externe (101) ; etdans lequel le mouvement de la structure tubulaire interne (102) dans la structure tubulaire externe (101) amène l'implant pliable (103) à se plier lorsqu'il se déplace à travers le passage de rétrécissement (106) jusque dans l'extrémité distale du cathéter ; et dans lequella tige de support (104) est enfermée par la structure tubulaire interne (102).
- Dispositif selon la revendication 1, le dispositif comprenant au moins un matériau partiellement transparent et/ou un hublot.
- Dispositif selon l'une quelconque des revendications précédentes, dans lequel la structure tubulaire externe (101) comprend en outre un élément de saisie (108) pour stabiliser le cathéter (105) en vue de la réception de l'implant pliable (103).
- Dispositif selon la revendication 3, dans lequel le diamètre interne de la structure tubulaire interne (102) rétrécit radialement sur au moins une partie de telle sorte que l'élément élément de saisie (108) soit compressé lorsque la structure tubulaire interne (102) entre dans la structure tubulaire externe (101), amenant ainsi l'élément de saisie (108) à saisir et stabiliser le cathéter (105).
- Dispositif selon la revendication 4, dans lequel le diamètre interne de la structure tubulaire interne (102) s'élargit radialement sur au moins une certaine partie, permettant à l'élément de saisie (108) de s'ouvrir lorsque la structure tubulaire interne (102) entre davantage dans la structure tubulaire externe (101), amenant ainsi l'élément de saisie (108) à libérer le cathéter (105).
- Dispositif comprenant un système de pose pour charger un implant pliable (103) dans un cathéter de pose, comprenant :un dispositif de chargement (100) selon l'une quelconque des revendications précédentes ; etle cathéter de pose (105) ;dans lequel une compression du dispositif de chargement (100) amène une des structures tubulaires (101, 102) à se déplacer de manière coulissante à l'intérieur de l'autre (102, 101), amenant la tige de support (104) à guider l'implant pliable (103) à travers le passage de rétrécissement (106), le plier, et l'insérer dans le cathéter (105).
- Dispositif selon n'importe quelle revendication précédente, comprenant en outre :
un implant (103) monté sur la tige de support (104). - Dispositif selon la revendication 7, dans lequel l'implant (103) est un implant pulmonaire.
- Dispositif selon la revendication 8, lorsqu'elle est dépendant de la revendication 6, dans lequel le cathéter (105) comprend :une lumière ; etune tige (601) logée de manière coulissante à l'intérieur de la lumière, la tige (601) comprenant un élément de fixation destiné à se fixer à un implant pulmonaire pliable (103) et à tirer l'implant pulmonaire pliable (103) à l'intérieur de la lumière.
- Dispositif selon la revendication 9, dans lequel l'élément de fixation comprend une fente pour recevoir une extrémité de l'implant pulmonaire pliable (103).
- Dispositif selon la revendication 10, dans lequel l'élément de fixation comprend en outre une bille à ressort pour une saisie accrue sur l'implant pulmonaire pliable (103) .
- Dispositif selon la revendication 10, dans lequel l'élément de fixation comprend un mécanisme de verrou pour un verrouillage sur l'implant pulmonaire pliable (103).
- Dispositif selon la revendication 10, dans lequel l'élément de fixation comprend une boucle métallique destinée à être enroulée autour d'une extrémité de l'implant pulmonaire pliable (103).
- Dispositif selon la revendication 13, dans lequel la boucle métallique comprend un matériau à mémoire de forme, permettant au cathéter (105) de libérer l'implant pulmonaire pliable (103) par augmentation du mou dans la boucle métallique.
- Kit de chargement d'un implant pliable (103), comprenant :un dispositif selon les revendications 7 ou 8, lorsqu'elle est dépendante de la revendication 6, ou selon l'une quelconque des revendications 9 à 14 ;dans lequel l'implant est un implant pliable auto-déployable et le kit comprend en outre un conditionnement renfermant le dispositif de chargement (100), l'implant (103), et le cathéter de pose (105) dans des conditions stériles.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US89394007P | 2007-03-09 | 2007-03-09 | |
US12/043,404 US8100959B2 (en) | 2007-03-09 | 2008-03-06 | Loading device for a pulmonary implant |
PCT/US2008/056289 WO2008112574A2 (fr) | 2007-03-09 | 2008-03-07 | Chargement d'un dispositif pour un implant pulmonaire |
Publications (3)
Publication Number | Publication Date |
---|---|
EP2120821A2 EP2120821A2 (fr) | 2009-11-25 |
EP2120821A4 EP2120821A4 (fr) | 2017-01-04 |
EP2120821B1 true EP2120821B1 (fr) | 2020-05-27 |
Family
ID=39742462
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP08743733.1A Active EP2120821B1 (fr) | 2007-03-09 | 2008-03-07 | Outil de chargement d'un implant pulmonaire |
Country Status (4)
Country | Link |
---|---|
US (1) | US8100959B2 (fr) |
EP (1) | EP2120821B1 (fr) |
JP (1) | JP5528818B2 (fr) |
WO (1) | WO2008112574A2 (fr) |
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US11419720B2 (en) | 2010-05-05 | 2022-08-23 | Neovasc Tiara Inc. | Transcatheter mitral valve prosthesis |
US12053369B2 (en) | 2011-11-23 | 2024-08-06 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US11413139B2 (en) | 2011-11-23 | 2022-08-16 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US11497602B2 (en) | 2012-02-14 | 2022-11-15 | Neovasc Tiara Inc. | Methods and apparatus for engaging a valve prosthesis with tissue |
US11617650B2 (en) | 2012-05-30 | 2023-04-04 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
US11389294B2 (en) | 2012-05-30 | 2022-07-19 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
US10940001B2 (en) | 2012-05-30 | 2021-03-09 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
US11389291B2 (en) | 2013-04-04 | 2022-07-19 | Neovase Tiara Inc. | Methods and apparatus for delivering a prosthetic valve to a beating heart |
US11357622B2 (en) | 2016-01-29 | 2022-06-14 | Neovase Tiara Inc. | Prosthetic valve for avoiding obstruction of outflow |
US11464631B2 (en) | 2016-11-21 | 2022-10-11 | Neovasc Tiara Inc. | Methods and systems for rapid retraction of a transcatheter heart valve delivery system |
US11793640B2 (en) | 2017-08-25 | 2023-10-24 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US11737872B2 (en) | 2018-11-08 | 2023-08-29 | Neovasc Tiara Inc. | Ventricular deployment of a transcatheter mitral valve prosthesis |
US11998447B2 (en) | 2019-03-08 | 2024-06-04 | Neovasc Tiara Inc. | Retrievable prosthesis delivery system |
US11602429B2 (en) | 2019-04-01 | 2023-03-14 | Neovasc Tiara Inc. | Controllably deployable prosthetic valve |
US11491006B2 (en) | 2019-04-10 | 2022-11-08 | Neovasc Tiara Inc. | Prosthetic valve with natural blood flow |
US12036117B2 (en) | 2019-04-10 | 2024-07-16 | Neovasc Tiara Inc. | Prosthetic valve with natural blood flow |
US11779742B2 (en) | 2019-05-20 | 2023-10-10 | Neovasc Tiara Inc. | Introducer with hemostasis mechanism |
US11931254B2 (en) | 2019-06-20 | 2024-03-19 | Neovasc Tiara Inc. | Low profile prosthetic mitral valve |
US11311376B2 (en) | 2019-06-20 | 2022-04-26 | Neovase Tiara Inc. | Low profile prosthetic mitral valve |
Also Published As
Publication number | Publication date |
---|---|
US8100959B2 (en) | 2012-01-24 |
EP2120821A4 (fr) | 2017-01-04 |
WO2008112574A2 (fr) | 2008-09-18 |
WO2008112574A3 (fr) | 2008-10-30 |
JP2010520803A (ja) | 2010-06-17 |
US20080221703A1 (en) | 2008-09-11 |
JP5528818B2 (ja) | 2014-06-25 |
EP2120821A2 (fr) | 2009-11-25 |
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